Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $125.89 / $181.97 / $537.03	Facility	26	$125.89	$181.97	$537.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $933.25	Professional		$354.81	$489.78	$933.25
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $56.23 / $66.07 / $141.25	Professional	26	$56.23	$66.07	$141.25
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $302.00 / $426.58 / $776.25	Professional	TC	$302.00	$426.58	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $831.76	Professional		$363.08	$616.60	$831.76
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $53.70 / $91.20 / $123.03	Professional	26	$53.70	$91.20	$123.03
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $309.03 / $512.86 / $707.95	Professional	TC	$309.03	$512.86	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $831.76 / $1,071.52	Professional		$489.78	$831.76	$1,071.52
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $123.03 / $147.91	Professional	26	$67.61	$123.03	$147.91
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $426.58 / $724.44 / $933.25	Professional	TC	$426.58	$724.44	$933.25
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $489.78 / $489.78 / $489.78	Facility	26	$489.78	$489.78	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $2,884.03	Professional		$602.56	$851.14	$2,884.03
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $97.72 / $131.83 / $870.96	Professional	26	$97.72	$131.83	$870.96
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $524.81 / $707.95 / $2,511.89	Professional	TC	$524.81	$707.95	$2,511.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $812.83 / $1,071.52	Professional		$794.33	$812.83	$1,071.52
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $117.49 / $125.89 / $162.18	Professional	26	$117.49	$125.89	$162.18
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $676.08 / $691.83 / $891.25	Professional	TC	$676.08	$691.83	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $954.99	Professional		$549.54	$912.01	$954.99
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $77.62 / $131.83 / $141.25	Professional	26	$77.62	$131.83	$141.25
Midlands Facility/Professional Professional Modifier TC Low / Median / High Price $478.63 / $794.33 / $812.83	Professional	TC	$478.63	$794.33	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,000.00	Professional		$562.34	$758.58	$1,000.00
United Facility/Professional Professional Modifier 26 Low / Median / High Price $81.28 / $128.82 / $154.88	Professional	26	$81.28	$128.82	$154.88
United Facility/Professional Professional Modifier TC Low / Median / High Price $457.09 / $630.96 / $831.76	Professional	TC	$457.09	$630.96	$831.76